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GORDON R JOHNSON D O P C
NPI 1124362066
Otolaryngology in Davenport, IA

Active since November 15, 2012
3906 LILLIE AVE, SUITE 1, DAVENPORT, IA 52806(563) 391-3309 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon R Johnson D O P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON R JOHNSON D O P C (NPI 1124362066) is a healthcare organization registered as an otolaryngology in Davenport, Iowa and active in the NPI registry since November 2012. The organization lists Gordon R Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1124362066
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGORDON R JOHNSON D O P C
Location Address3906 LILLIE AVE, SUITE 1Davenport, IA 52806-4434
Mailing Address3906 Lillie Ave, Suite 1Davenport, IA 52806-4434
Phone(563) 391-3309
Organization SubpartNo
Authorized OfficialGordon R JohnsonPresident · (563) 391-3309
Enumeration DateNovember 15, 2012
✔ NPI 1124362066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IA · 1926
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3906 LILLIE AVE, Davenport, IA 52806
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY D'ANGELO JR. DO
Orthopaedic Surgery
3906 LILLIE AVE, SUITE 7 8
DAVENPORT, IA 52806
Scott County (563) 386-9124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon R Johnson D O P C's NPI number?

The NPI number for Gordon R Johnson D O P C is 1124362066. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Gordon R Johnson D O P C located?

Gordon R Johnson D O P C is located at 3906 Lillie Ave Suite 1, Davenport, IA 52806. The listed phone number is (563) 391-3309.

What is Gordon R Johnson D O P C's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Gordon R Johnson D O P C was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.